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Clinical Triggers to Initiate Therapy Key clinical indicators for early therapy include: Persistent microalbuminuria or macroalbuminuria (ACR 30 mg/g) eGFR decline, even within the normal range Coexisting cardiovascular disease Suboptimal HbA1c despite metformin and lifestyle modification SGLT2 inhibitors are generally safe to initiate if eGFR is above 30 mL/min/1.73 m

Generally, Ozempic must be refrigerated at 36-46F (2-8C) until first use

Additional Considerations for Compounded Medications MEDVi advises patients to discuss the specific risks and benefits of compounded medications with their prescribing clinician

"Just like any other medication, they can have potential side effects," he said

Track it if necessary